Individual
MRS. MABLE PANKAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP & WHNP
Contact information
Practice address
1534 N HAMPTON RD STE 100, DESOTO, TX 75115-2493
(682) 405-1934
(866) 803-8759
Mailing address
1534 N HAMPTON RD STE 100, DESOTO, TX 75115-2493
(682) 405-1934
(866) 803-8759
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
633575
TX
363LW0102X
Women's Health Nurse Practitioner
633575
TX
Other
Enumeration date
01/23/2014
Last updated
10/22/2025
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